Fotona 4D® laser treatment
Fotona® is a trusted brand in the aesthetic laser market worldwide, with more than 60.000 practices in over 100 countries working with this platform. No wonder: the demand for natural facial rejuvenation without injectables or surgery is growing rapidly. Patients seek treatments that visibly improve the skin without the result looking unnatural. Fotona 4D® addresses exactly that need.

Fotona 4D®
Fotona 4D® is an advanced laser protocol for non-invasive facial rejuvenation, combining multiple laser modalities within a single treatment. By targeting different skin layers, Fotona 4D® works on skin quality, firmness, volume, and contour.
A unique aspect of this treatment is the combination of laser treatment on the inside of the mouth and on the outside of the skin. This allows the skin to be treated from different directions, which supports collagen production and can contribute to firmer skin, typically with minimal recovery time.
For practices looking to expand their offerings with a natural anti-aging treatment without injectables, Fotona 4D® offers a strong and distinctive option.
What does the treatment involve?
Fotona 4D® is a laser protocol from Fotona in which multiple Er:YAG and Nd:YAG laser modalities are combined for skin rejuvenation and lifting.
The treatment consists of four steps (“4D”), in which different layers of the skin are treated:
- SmoothLiftin™– intraoral reinforcement from the inside
- FRAC3® – targeted treatment of deeper imperfections
- PIANO® – controlled skin heating for firming
- SupErficial™ – superficial skin improvement and glow
What does this mean in practice?
Fotona 4D® targets multiple aspects of skin aging simultaneously:
- Skin Rejuvenation
- Preventive skin rejuvenation (prejuvenation)
- skin sagging
- Loss of volume and contour
- fine lines
- Skin texture
- General skin quality
By combining multiple laser modalities, a multi-layered approach to skin rejuvenation is created.
Benefits of this treatment
Fotona 4D® distinguishes itself through the combination of various treatment steps within a single protocol.
Main benefits:
- Non-invasive skin rejuvenation
- No injectables or surgery needed
- Stimulation of collagen and skin firming
- Treatment of both deeper and superficial skin layers
- Minimal downtime
- Natural-looking results
For practices, this means a widely applicable treatment within the segment of natural skin improvement and anti-aging.
Fotona 4D Offer
Fotona 4D® can be performed on multiple laser systems. The choice of a specific system depends on the range of treatments offered, the desired level of versatility, and the ambitions of the practice. Dalton Medical, the exclusive Fotona distributor in the Netherlands, currently offers two product lines with which the Fotona 4D protocol can be performed: the Dynamis family.
Dynamis family
The Dynamis line is Fotona's versatile laser platform, designed for both facial and body treatments. Depending on the model, a system can feature a 1064 nm Nd:YAG, a 2940 nm Er:YAG, or a combination of both wavelengths.
The Nd:YAG is known for its deep tissue penetration, while the Er:YAG, thanks to its high water absorption, is ideally suited for precise superficial skin treatments. As a result, in addition to the Fotona 4D protocol, the Dynamis line offers broad applicability for various medical and aesthetic indications , such as:
- Ablative peels (full field & fractional)
- Scars
- Vascular lesions in the face
- HAIRestart
- Acne
- Rosacea
SP Dynamis Max
The Dynamis Max is the newest and most advanced version of Fotona's renowned Dynamis line. This versatile laser system is designed for professionals seeking maximum treatment capabilities within one powerful and reliable platform.
The system features integrated vacuum technology with dynamically controlled intermittent suction, advanced scanners, and fractional options for comprehensive aesthetic solutions. But above all, the integrated cooling in the system is distinctive.
The superior power enables the use of large spot sizes and exceptionally high frequencies, leading to faster and more efficient treatments.
The SP Dynamis Max is suitable for all Fotona protocols and extensive body and medical treatments.
However, the practical differences between the NX-line and the Max are minimal:
- Slightly better user interface
- Adjustable scanner holders
- Larger screen
SP Dynamis
The original SP Dynamis forms the basis upon which the later models are built. Although this system is no longer actively sold, there are still practices that use it. It offers the same TwinLight combination of Nd:YAG and Er:YAG, but without the newer technologies of the Max.
Watch the video below to see BLOY Institute's experience with a Dynamis system from Dalton Medical.
The Dynamis Max in 1 overview
| SP Dynamis Max | |
| Primary focus | Face and body, broadly multifunctional |
| Treatment protocols | All Fotona protocols + extensive body and medical treatments |
| Suitable for | Skin therapy practice, clinic, or medical center with a broad treatment portfolio |
| Complexity/investment | Higher investment, greater versatility |

Questions?
Use the button below to leave your details and our specialists will be happy to advise you.
Leave your detailsWhich indications can you address with the Fotona 4D lasers?
Fotona 4D® is a versatile protocol that addresses multiple skin problems simultaneously. Because the treatment works at four depth levels, from intraoral to the superficial skin layer, the protocol is effective for a combination of indications that must be addressed separately in other treatments.
Skin sagging and loss of firmness
Fotona 4D® consists of four steps of non-invasive laser treatments and treats both the exterior and interior of the face, including the oral cavity, for overall rejuvenation. The intra-oral step (SmoothLiftin™) provides collagen stimulation from within, resulting in demonstrable tightening of the skin along the jawline and cheeks, without injectables or surgery.
Wrinkles and fine lines
The Fotona 4D treatment utilizes Er:YAG and Nd:YAG lasers in four steps, where each of the four mechanisms of action targets different skin layers and connective tissue structures, addresses imperfections, and noticeably rejuvenates the skin.
With the Fotona 4D treatment, the skin is approached from four different levels, making it a unique combination of four forms of aesthetic treatment to combat facial aging.
Skin quality, texture and pores
Dull skin loses its radiance due to the accumulation of dead skin cells and/or clogged pores. Fotona 4D addresses this superficially with a controlled laser peel, resulting in an immediately visible improvement in skin texture, complexion, and radiance, also known as the “glow.”
Pigmentation and spots
Pigmentation includes freckles, sunspots, or other dark spots on the skin that are primarily caused by sun exposure. Deeper pigment irregularities are specifically treated using fractional Nd:YAG energy, without damaging the surrounding skin.
Volume loss and contour preservation
Weakening of the skin's supporting structures, collagen and elastin fibers, leads to a loss of skin firmness or the development of cellulite. Through the combination of PIANO® heating and intra-oral collagen stimulation, Fotona 4D® works to restore volume and contour definition, particularly around the mouth, cheeks, and jawline.
Related facial treatments (extensions to the protocol)
In addition to the standard Fotona 4D® protocol, Dynamis offers scope for additional treatments that logically complement a practice's anti-aging offering:
- SmoothEye® — firming of the skin around the eyes and reduction of puffiness and fine lines
- LipLase® — non-invasive lip augmentation and firming via collagen stimulation
- VectorLift® — targeted lifting of specific facial contours
Suitable for all skin types
The Fotona 4D treatment is suitable for all skin types. Thanks to the unique benefits of the different wavelengths and the wide range of handpieces, both common and lesser-known skin problems can be treated.
Frequently asked questions
Fotona 4D® is a non-invasive laser protocol for facial rejuvenation that combines four consecutive laser modalities in a single session, using the Er:YAG (2940 nm) and Nd:YAG (1064 nm) wavelengths. What makes the protocol unique is the combination of intraoral treatment (from the inside via the mouth) and external treatment, resulting in collagen stimulation at multiple depth levels. The result: increased firmness, fewer wrinkles, and improved skin texture, without injectables, without surgery, and with minimal downtime.
Yes. The efficacy of Fotona 4D® is clinically substantiated and is a proven laser technology, such as the patented SMOOTH® mode for non-ablative collagen stimulation and Nd:YAG for deep thermal heating. On average, a course of four treatments is recommended with four to six weeks between them, after which a visibly lifting and rejuvenating effect is noticeable. Results depend on the patient's skin condition and the skill of the practitioner.
That depends on a number of factors. The Dynamis Max is the newest and most advanced version of the Dynamis line, designed for professionals seeking maximum treatment capabilities within one powerful platform, ideal for clinics offering a wide range of face and body treatments. Contact us for expert and personalized advice.

Want to buy a Fotona 4D laser or need additional information?
Would you like to know more about picosecond laser technology or discover which system suits your practice? Contact us on +31(0) 162 74 44 44 or fill out our contact form. We are happy to assist you with personal advice, demonstrations, and support with training from our Dalton Academy and implementation.